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New Patients

Keloid Consultation Request

If you are a new patient, please complete the Keloid Consultation Request form and email it with images of your keloid(s) to DrTirgan@Keloid212.com. Information you provide will allow Dr. Tirgan to better assess your condition and provide you with a cost estimate for treatment. Please know that all information submitted through this website is secure and remains confidential.Please submit your appointment request by clicking on the icon below. Make sure to provide accurate responses to each question and have valid e mail address. For both new and returning patients, you will receive an email confirming the date and time of your appointment.

Keloid Consultation Request